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Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
AIspire360 Inc's logo

Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform

Amit Mohan's profile picture
Posted by Amit Mohan
3 - 10 yrs
₹10L - ₹30L / yr
Remote only
Skills
Artificial Intelligence (AI)
HIPAA
Backend testing
API management

Company: AISpire360 Role: Senior Voice AI Engineer (Independent Contractor, Full-Time Engagement) Location: Remote (India-based preferred; must overlap 4–6 hours daily with London + US Eastern) Engagement: Full-time independent contractor — long-term Compensation: Competitive, paid in USD, monthly. Senior staff-level rates.

About AISpire360

We are building the operating system for medical practices in the US. Our flagship product is ARIA, an AI receptionist that handles inbound and outbound calls, intake, scheduling, eligibility, prior authorization workflows, and after-hours coverage for medical practices. We are in active production deployment with our first practice — a spine surgery practice at the Hospital for Special Surgery in New York. Multiple specialty practices are in our deployment pipeline.

The platform is built to be specialty-agnostic. The voice agent stack is the universal foundation. Knowledge layers (spine surgery, primary care, behavioral health, dermatology, cardiology, pediatrics, etc.) plug in as configuration. One platform, many specialties.

We are venture-backed, founder-led, and shipping. The technical decisions you make here will be in production within weeks.

What You'll Own

You are the technical anchor for the voice agent. You will be responsible for:

Real-time voice system

  • Voice agent stack on ElevenLabs Conversational AI (and evaluation of Retell, Vapi, LiveKit alternatives as we scale)
  • STT and TTS configuration, voice tuning, language and accent handling
  • Turn-taking, barge-in, end-of-speech detection, latency budgets
  • Driving end-to-end voice latency below 700ms (we currently target 600ms)
  • Quality vs. cost tradeoffs across voice tier selection (Premium / Turbo / Standard)
  • Silence-detection optimization for outbound calls (95% silence-discount realization)

HIPAA + PHI infrastructure

  • BAA-compliant hosting architecture (AWS-based, BAA in place)
  • PHI detection and redaction pipeline (AWS Comprehend Medical + custom pre-filters)
  • Encryption in transit and at rest, audit logging, 7-year retention compliance
  • Access controls, RBAC, kill-switch infrastructure
  • HIPAA Security Rule compliance for technical safeguards

Agent orchestration and tools

  • LLM integration (GPT-4o, Claude Sonnet, with model routing for cost optimization)
  • Tool calling for scheduling, eligibility checks, prior auth lookups, calendar booking, task creation
  • Multi-turn conversation state management
  • Multi-topic call handling and structured task generation
  • Safety-critical keyword detection and escalation routing

Integrations

  • EHR integration (Epic, Athena, eClinicalWorks — at least one in V1)
  • Insurance eligibility APIs (Availity, Change Healthcare, payer-specific)
  • Calendar integration (Google Calendar, Microsoft 365, Cal.com)
  • SMS and email gateways (Twilio, SendGrid)
  • Practice-specific webhooks for task manager surfacing

Multi-tenant platform foundations

  • Per-practice configuration loading (specialty profile + practice profile)
  • Per-tenant isolation, data segregation
  • Specialty-specific intake schemas, triage rules, safety keywords
  • Production observability (tracing, metrics, latency monitoring per practice)

Required Experience

You should be able to demonstrate, in a live walkthrough with code in hand, that you have shipped production voice AI systems. Specifically:

  • 3+ years of production voice/conversational AI experience. Not chatbots — actual real-time voice agents handling live phone calls. ElevenLabs, Retell, Vapi, LiveKit, OpenAI Realtime, Deepgram, or equivalent.
  • Deep familiarity with at least 2 of: ElevenLabs Conversational AI, Retell AI, Vapi, LiveKit Agents, OpenAI Realtime API. Production deployment experience required, not demo experience.
  • HIPAA and PHI handling experience in production. Not theoretical. You have signed BAAs, deployed in HIPAA-compliant environments, and built PHI redaction pipelines.
  • AWS infrastructure expertise. Specifically: ECS or Fargate, Lambda, S3 with encryption, KMS, CloudWatch, IAM, VPC, BAA-eligible service selection.
  • AWS Comprehend Medical or equivalent PHI detection experience.
  • Twilio or equivalent telephony provider experience. SIP trunking, inbound/outbound call flows, recording and transcription pipelines.
  • Latency optimization in real-time systems. You have hit sub-700ms voice latency in production and can explain the trade-offs you made.
  • LLM production experience. GPT-4o, Claude, or equivalent. Prompt engineering, tool calling, structured outputs, model routing for cost.
  • Python or TypeScript fluency. Production code, not scripts.
  • API integration experience. REST, webhooks, OAuth, async patterns. Bonus if you've integrated with EHRs (Epic FHIR, Athena, eClinicalWorks).

Nice to Have

  • Healthcare domain experience (EHRs, clinical workflows, medical terminology)
  • Prior auth or eligibility verification workflow experience
  • Multi-tenant SaaS architecture experience
  • SOC 2 audit experience
  • Experience with knowledge graphs (PostgreSQL + pgvector, Neo4j, or similar)
  • Open-source contributions to LangChain, LiveKit, Pipecat, or similar voice/agent frameworks
  • Demonstrated ability to ship to production fast (not perfectionism — pragmatic engineering)

What This Engagement Looks Like

  • Independent contractor. You invoice us monthly. We pay in USD via wire transfer or Wise.
  • Full-time engagement. This is your primary work. We expect ~40 hours/week of focused output.
  • Long-term. We are not looking for a 3-month engagement. Expect this to run 12+ months.
  • You sign a BAA with us. This is non-negotiable due to the nature of the work.
  • You are eligible for future equity grants as we formalize the team structure.
  • Direct working relationship with our CTO (London-based) and founders (NYC and India).
  • Time-zone overlap required: at least 4–6 hours of daily overlap with both London and US Eastern. Indian Standard Time evenings (6 PM IST onward) work well.

How We'll Evaluate You

Our hiring process is fast and substantive. No take-homes. No multi-round bureaucracy.

  1. Initial screen (30 min): Background, what you've shipped, compensation expectations, BAA-readiness.
  2. Technical deep-dive (90 min): Walk us through a production voice AI system you've shipped. Code in hand. Architecture diagrams. Real production numbers — latency, cost per call, scale. We will ask follow-up questions about specific decisions you made.
  3. System design (90 min, live): We give you a design problem — a HIPAA-compliant voice agent for a medical specialty we don't yet support. You design end-to-end on a whiteboard / Excalidraw. We probe trade-offs.
  4. Founders + CTO conversation (60 min): Mutual fit. You ask us hard questions. We answer honestly.

Total: 4–5 hours of your time. We'll move from first conversation to offer in 7–10 days for the right candidate.

What We Will NOT Accept

  • Take-home assignments produced by other AI tools. We will ask you to walk through code live; if you can't explain decisions you didn't make, the interview ends.
  • Resume claims you can't substantiate. We verify employment via EPFO/UAN where applicable.
  • "I've done LLM chatbots" experience without production voice agent experience. They are not the same skill.
  • Engagement structures that conflict with this being your primary work.

How to Apply

Send a brief message with:

  1. A link to a production voice AI system you've shipped (or, if NDA'd, a description of the architecture and your specific contribution).
  2. Two or three sentences on why this role fits you specifically — not a generic cover letter.
  3. Your current compensation expectation in USD per month.
  4. Your earliest start date and current time-zone availability.

We read every message. We respond within 5 business days, including with "no" answers. We don't ghost.


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About AIspire360 Inc

Founded :
2025
Type :
Products & Services
Size :
0-20
Stage :
Bootstrapped

About

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Experience: 4+ years


Job Overview:

We are seeking a highly experienced and innovative Senior AI Engineer with a strong background in Generative AI, including LLM fine-tuning and prompt engineering. This role requires hands-on expertise across NLPComputer Vision, and AI agent-based systems, with the ability to build, deploy, and optimize scalable AI solutions using modern tools and frameworks.

Key Responsibilities:

  • Design, fine-tune, and deploy generative AI models (LLMs, diffusion models, etc.) for real-world applications.
  • Develop and maintain prompt engineering workflows, including prompt chaining, optimization, and evaluation for consistent output quality.
  • Build NLP solutions for Q&A, summarization, information extraction, text classification, and more.
  • Develop and integrate Computer Vision models for image processing, object detection, OCR, and multimodal tasks.
  • Architect and implement AI agents using frameworks such as LangChain, AutoGen, CrewAI, or custom pipelines.
  • Collaborate with cross-functional teams to gather requirements and deliver tailored AI-driven features.
  • Optimize models for performance, cost-efficiency, and low latency in production.
  • Continuously evaluate new AI research, tools, and frameworks and apply them where relevant.
  • Mentor junior AI engineers and contribute to internal AI best practices and documentation.

Required Skills & Qualifications:

  • Bachelor’s or Master’s in Computer Science, AI, Machine Learning, or related field.
  • 4+ years of hands-on experience in AI/ML solution development.
  • Proven expertise in fine-tuning LLMs (e.g., LLaMA, Mistral, Falcon, GPT-family) using techniques like LoRA, QLoRA, PEFT.
  • Deep experience in prompt engineering, including zero-shot, few-shot, and retrieval-augmented generation (RAG).

  • Proficient in key AI libraries and frameworks:
  • LLMs & GenAI: Hugging Face Transformers, LangChain, LlamaIndex, OpenAI API, Diffusers
  • NLP: SpaCy, NLTK.
  • Vision: OpenCV, MMDetection, YOLOv5/v8, Detectron2
  • MLOps: MLflow, FastAPI, Docker, Git

  • Familiarity with vector databases (Pinecone, FAISS, Weaviate) and embedding generation.
  • Experience with cloud platforms like AWSGCP, or Azure, and deployment on in house GPU-backed infrastructure.
  • Strong communication skills and ability to convert business problems into technical solutions.


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SparrowHost
Anant kumar
Posted by Anant kumar
Dhanbad
0 - 8 yrs
₹1.5L - ₹3L / yr
skill iconVue.js
skill iconAngularJS (1.x)
skill iconAngular (2+)
skill iconReact.js
skill iconJavascript
+6 more

About Us:

We are an innovative tech company focusing on cutting-edge AI projects. Our mission is to create impactful AI solutions that transform industries and enhance user experiences. We are looking for a skilled Python Developer to join our dynamic team and contribute to the development of AI-powered applications.


Responsibilities:

Develop, test, and deploy scalable AI and machine learning models using Python.

Collaborate with data scientists and AI engineers to integrate models into production systems.

Write efficient, reusable, and scalable code for AI applications and pipelines.

Optimize existing Python codebases for performance and scalability.

Design and implement APIs and microservices to support AI-driven features.

Debug and resolve issues in AI systems and pipelines.

Stay updated with the latest advancements in AI and Python development trends.

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Enzo League
at Enzo League
1 recruiter
Pradeep Agarwal
Posted by Pradeep Agarwal
Bengaluru (Bangalore)
3 - 13 yrs
₹1L - ₹4L / yr
Fullstack Developer
skill iconAndroid Development
skill iconiOS App Development
MySQL
Artificial Intelligence (AI)
+1 more
Important: Read the brief carefully, apply only if you're interested and want to be an entrepreneur. Please apply with your latest resume.

Are you someone who never intended to play it safe and wants to challenge the status quo in every nook and corner of your life? Do you want to make the maximum utilization of your skills and knowledge? Would you want every decision and move that you make should have a big impact on the company for the better (even if it doesn't, we're a bunch of people who will give you the room to fail and learn from it)? The read on...

We are a start-up into online personal styling & fashion.

We are looking for a core team member as a CTO or Head of Technology. It is much more than a job and the main goals in the first few months will be to build the Android App for the Company, & the Technology team & its strategy, manage systems, and its maintenance regularly. Knowledge of AI & ML is a must. As this product needs to be build AI/ML ready

Don't expect a high salary as this is more of a hands-on plus management role with the right equity that can be provided based upon your performance.
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